BACKGROUND: Portal vein-superior mesenteric vein resection is frequently required after surgical resection of tumours of the pancreas head. The ideal graft for portal vein reconstruction (PVR) remains undefined. METHODS: Between May 2000 and July 2007, 28 patients had portal vein-superior mesenteric vein resection and PVR during pancreaticoduodenectomy. Their clinical reports were reviewed retrospectively with specific attention to the methods of PVR and outcomes. RESULTS: Ten patients had PVR with primary anastomosis, seven had PVR with autologous vein, one had a polytetrafluoroethylene (PTFE) patch, one did not have PVR and nine had PVR with a PTFE interposition graft. There was no infection after PTFE grafting. Six patients had PVR thrombosis after surgery: four after primary anastomosis, one after interposition PTFE and one after vein repair. CONCLUSION: PTFE appeared to be an effective and safe option as an interposition graft for portomesenteric venous reconstruction after pancreaticoduodenectomy.
BACKGROUND: Portal vein-superior mesenteric vein resection is frequently required after surgical resection of tumours of the pancreas head. The ideal graft for portal vein reconstruction (PVR) remains undefined. METHODS: Between May 2000 and July 2007, 28 patients had portal vein-superior mesenteric vein resection and PVR during pancreaticoduodenectomy. Their clinical reports were reviewed retrospectively with specific attention to the methods of PVR and outcomes. RESULTS: Ten patients had PVR with primary anastomosis, seven had PVR with autologous vein, one had a polytetrafluoroethylene (PTFE) patch, one did not have PVR and nine had PVR with a PTFE interposition graft. There was no infection after PTFE grafting. Six patients had PVR thrombosis after surgery: four after primary anastomosis, one after interposition PTFE and one after vein repair. CONCLUSION:PTFE appeared to be an effective and safe option as an interposition graft for portomesenteric venous reconstruction after pancreaticoduodenectomy.
Authors: Manju D Chandrasegaram; Guy D Eslick; Wayne Lee; Mark E Brooke-Smith; Rob Padbury; Christopher S Worthley; John W Chen; John A Windsor Journal: HPB (Oxford) Date: 2013-12-18 Impact factor: 3.647
Authors: A N Krepline; K K Christians; K Duelge; A Mahmoud; P Ritch; B George; B A Erickson; W D Foley; E J Quebbeman; K K Turaga; F M Johnston; T C Gamblin; D B Evans; S Tsai Journal: J Gastrointest Surg Date: 2014-09-17 Impact factor: 3.452
Authors: Steven M Strasberg; Luis A Sanchez; William G Hawkins; Ryan C Fields; David C Linehan Journal: J Gastrointest Surg Date: 2012-03-08 Impact factor: 3.452
Authors: Matthew R Porembka; William G Hawkins; David C Linehan; Feng Gao; Changqing Ma; Elizabeth M Brunt; Steven M Strasberg Journal: HPB (Oxford) Date: 2011-09 Impact factor: 3.647